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History of neuroscience

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Through Neuron, Brain and Heart

Antiquity

The earliest reference to the brain occurs in the Edwin Smith Surgical Papyrus, written in the 17th century BC. The hieroglyph for brain, occurring eight times in this papyrus, describes the symptoms, diagnosis, and prognosis of two patients, wounded in the head, who had compound fractures of the skull. The assessments of the author (a battlefield surgeon) of the papyrus allude to ancient Egyptians having a vague recognition of the effects of head trauma. While the symptoms are well written and detailed, the absence of a medical precedent is apparent. The author of the passage notes "the pulsations of the exposed brain" and compared the surface of the brain to the rippling surface of copper slag (which indeed has a gyral-sulcal pattern). The laterality of injury was related to the laterality of symptom, and both aphasia ("he speaks not to thee") and seizures ("he shudders exceedingly") after head injury were described. Observations by ancient civilizations of the human brain suggest only a relative understanding of the basic mechanics and the importance of cranial security. Furthermore, considering the general consensus of medical practice pertaining to human anatomy was based on myths and superstition, the thoughts of the battlefield surgeon appear to be empirical and based on logical deduction and simple observation.

In Ancient Greece, interest in the brain began with the work of Alcmaeon, who appeared to have dissected the eye and related the brain to vision. He also suggested that the brain, not the heart, was the organ that ruled the body (what Stoics would call the hegemonikon) and that the senses were dependent on the brain. According to ancient authorities, Alcmaeon believed the power of the brain to synthesize sensations made it also the seat of memories and thought. The author of On the Sacred Disease, part of the Hippocratic corpus, likewise believed the brain to be the seat of intelligence.

The debate regarding the hegemonikon persisted among ancient Greek philosophers and physicians for a very long time. Already in the 4th century BC, Aristotle thought that the heart was the seat of intelligence, while the brain was a cooling mechanism for the blood. He reasoned that humans are more rational than the beasts because, among other reasons, they have a larger brain to cool their hot-bloodedness. On the opposite end, during the Hellenistic period, Herophilus and Erasistratus of Alexandria engaged in studies that involved dissecting human bodies, providing evidence for the primacy of the brain. They affirmed the distinction between the cerebrum and the cerebellum, and identified the ventricles and the dura mater. Their works are now mostly lost, and we know about their achievements due mostly to secondary sources. Some of their discoveries had to be re-discovered a millennium after their death.

During the Roman Empire, the Greek physician and philosopher Galen dissected the brains of oxen, Barbary apes, swine, and other non-human mammals. He concluded that, as the cerebellum was denser than the brain, it must control the muscles, while as the cerebrum was soft, it must be where the senses were processed. Galen further theorized that the brain functioned by the movement of animal spirits through the ventricles. He also noted that specific spinal nerves controlled specific muscles, and had the idea of the reciprocal action of muscles. Only in the 19th century, in the work of François Magendie and Charles Bell, would the understanding of spinal function surpass that of Galen.

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